The specific treatment is as follows. 1, one degree. Gynecological pelvic inflammatory disease is treated with oral drugs for promoting blood circulation and removing blood stasis, such as Kangfuyan capsule, traditional Chinese medicine enema, such as Kangfuyan suppository, and microwave physiotherapy. A course of treatment lasts for 3 weeks. After at least 2 courses, tubal adhesion can be cured by tubal drainage. Two, two degrees. If conservative treatment of salpingitis is ineffective, salpingoplasty can be carried out according to the results of hysterosalpingography and different obstruction sites, which can be divided into four types. Tubal separation, ostomy, partial resection of obstruction, end-to-end anastomosis, tubal angle implantation, etc. Three, three degrees. Tubal adhesion is serious, and drug treatment is ineffective. Fertility requires IVF or tubal plastic surgery, and the postoperative effect is better.
Patients with tubal adhesion should eat more fresh fruits and vegetables, which can meet the daily needs of some vitamins A and C, calcium and iron, and need to supplement fresh milk every day.
Tubal adhesion is mainly divided into peritubal adhesion or intra-tubal adhesion, which is caused by inflammatory infection. The main factors are, for example, the spread of inflammation in neighboring organs, lack of hygiene during menstruation, abortion or IUD removal, postoperative infection after ovarian fluid drainage or postpartum abortion infection. Treatment can be drugs or surgery. The symptoms of acute salpingitis are mild, so antibiotics can be used and followed up, such as ceftriaxone sodium, ofloxacin or metronidazole. For patients with poor antibiotic treatment effect, if the abscess persists or ruptures, surgical treatment can be chosen, mainly to remove the focus, and laparoscopic surgery or abdominal surgery can be used.
Tubal adhesion is one of the common causes of female infertility. If it is mild adhesion, the mild adhesion at a certain stage can be dredged by tubal drainage or angiography, so that the pathological state of tubal adhesion can be alleviated. If the adhered lumen is particularly serious, tubal drainage and salpingography alone cannot be dredged and surgery is needed. Surgical treatment includes salpingoplasty and salpingectomy. If serious adhesion, the formation of water, tubal cavity is seriously blocked, should not be dredged again, this fallopian tube will lose the function of pregnancy. Therefore, if tubal adhesions, hydrosalpinx and lumen obstruction are serious, once salpingectomy is confirmed to be feasible, then assisted reproductive technology is used to help pregnancy. For example, IVF is put into the uterine cavity through the in vitro combination of sperm and eggs, and then continues to develop into a fetus in the uterine cavity.